Full Stack Engineer

Full Stack Engineer

San Francisco, CA

About Alto

We’re building a new kind of pharmacy to cure one of our healthcare system’s most startling ills: over 50% of prescriptions are never picked up. Because staying on track with doctor’s orders requires more than just delivering pills, we’re managing everything from insurance logistics to pricing, late-night questions to supply chain, and anything else that could stand in the way of effective treatment. Our more than 600 employees are dedicated to fulfilling medicine’s true purpose: to improve the quality of life for everyone who needs it. We’ve filled over 1 million prescriptions to date. To aid our calling, we’ve raised $354 million in funding, and we’re on track to achieve $1 billion in annual recurring revenue (ARR) by 2021. Join us as we prove just how much a pharmacy can deliver.

We use advanced technology and human empathy to advance a broken pharmacy industry into the modern era, and to make high-quality healthcare accessible to all. As an Alto Engineer, you will have the opportunity to build across the breadth of our products -- from our patient mobile application to our provider web dashboard to internal tools for our home grown pharmacy management system called Wunderbar. Our mission at Alto is to fulfill medicine’s true purpose—to improve quality of life—for everyone who needs it. We are building the best pharmacy for everybody, everywhere.

You are a generalist who owns projects from end-to-end, enjoys problem-solving, and values the impact your work makes on our patients. You always put the patient experience first. You are scrappy and resourceful, unafraid to dive into an unknown project but humble enough to make mistakes and iterate. You thrive on speed and wearing many hats, and you enjoy working on different parts of the tech stack (we use Ruby on Rails, React, React Native, and Go).

Within your 1st month, you will ship small features to Alto’s products. You’ll familiarize yourself with our tech stack, code review process, and codebase to learn how everything connects together. You’ll also shadow our Pharmacy Operations, Patient Care, and Fulfillment Teams to understand Alto from every perspective, and you’ll even speak to real patients on a support call. By your 2nd month, you will contribute to the planning, scoping, and code of a larger project. By your 3rd month, you’ll possess the confidence and skill set to own and ship a large project or feature. You’ll feel comfortable within our codebase and be able to tackle bugs independently.

Example Projects of an Alto Engineer:

Fertility Auto-Billing: The process of billing for fertility medication is very complex. To automate the manual work of calculating medication costs for the patients, we began by solving structural problems within our complex systems like understanding which clinics should be eligible for certain coupons and differentiating how much we saved patients vs how much their insurance contributed. Once we solved for these challenges, we automated the billing process with Ruby, React, and Postgres. This simplified an end-to-end billing process from how we receive prescriptions for fertility patients to generating competitive medication quotes for them.

React Native Patient App: Building a patient mobile app from scratch in React Native for both iOS and Android, along with the API endpoints to integrate the app with Alto’s backend. This app enables patients to onboard, schedule deliveries, order refills, communicate with their pharmacist, and better understand their medications.

Bottoms Up Analytics: To put our patients first, we often analyze how to increase the efficiency of our own internal workflows. One of our projects called Bottoms Up Analytics provides real time tracking metrics on where our Patient Care and Pharmacy Teams are spending their time daily in Wunderbar. We do that by using a Javascript client that reports the activity to our microservices; it is designed for high throughput and receives hundreds of requests/sec. Having this insight allows our engineers to prioritize and implement new projects and features that enable other teams cross-functionally to work more efficiently while providing the best patient care possible.

You are an ideal candidate if you:

Have 3+ years of experience writing production code.

Are familiar or excited to learn/code with several programming languages and web frameworks like Ruby on Rails, Javascript, React, React Native, Go, or Python.

Thrive in a dynamic fast-paced environment where you own products from start to finish, and make decisions quickly and independently.

We believe that a happy mind and body make a happy and successful employee, so we're pleased to offer solutions that keep your mind and body refreshed and healthy. Our employees have access to comprehensive medical, dental, and vision care packages, on-demand counseling services with Ginger, on-site meditation and mindfulness classes, and discounted gym memberships.

Peace of mind allows our employees to focus on what matters in life! That's why we think it's important to ensure your home, family and funds are protected. Alto Pharmacy offers benefits like group life, short-term disability, and long-term disability insurance, not to mention a health savings account, flexible spending account options, commuter benefits and more.

Alto Pharmacy is an Equal Opportunity Employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, genetic information, age, disability, veteran status, or any other legally protected basis.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.